| NPI | 1861703670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M-12011) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R72197) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2013-07-17 |